Individual provider Active NPI

Victoria Green, FNP-C

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1396504775
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234906 Issued in LA
Practice address
1810 Lindberg Dr Ste 2400
Slidell, LA 70458-8160
Phone
(985) 214-4330
Fax
(985) 214-4853
NPI assigned
Mar 18, 2024
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 234906 LA Primary

Addresses

Primary practice location

1810 Lindberg Dr Ste 2400
Slidell, LA 70458-8160

Mailing address

1810 Lindberg Dr Ste 2400
Slidell, LA 70458-8160
Phone (985) 214-4330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418002076 LA Practitioner - Nurse Practitioner 3173962594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kindl Works LLCGroup PAC ID 6204124605, 5 clinicians

Practice addresses (Care Compare)

1810 Lindberg Dr
Suite 2400
Slidell, LA 70458-8160
Phone (985) 326-8614

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iconic Healthcare, LLC Current Accepting new patients
Kindl Works LLC CurrentSince Jun 1, 2025 Accepting new patients
Purple Hearts Health Care LLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

1340 Gause Blvd W
Slidell, LA 70460
Phone (985) 214-4735

1570 Lindberg Dr
Ste 10
Slidell, LA 70458
Phone (985) 326-8614

1810 Lindberg Dr
Slidell, LA 70458
Phone (504) 897-6351

1810 Lindberg Dr
Ste 1400
Slidell, LA 70458
Phone (985) 326-8614

1810 Lindberg Dr
Ste 2400
Slidell, LA 70458
Phone (985) 326-8614

Interoperability endpoints

  • Direct secure messaging: victoria.green.1@11393.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1396504775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 LINDBERG DR STE 2400",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588160",
            "telephone_number": "985-214-4330",
            "fax_number": "985-214-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 LINDBERG DR STE 2400",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588160",
            "telephone_number": "985-214-4330",
            "fax_number": "985-214-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "VICTORIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "234906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.